HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR�APPLICATION TO BE ACCEPTED ) <�
Date: 3/19/2018 SCANNED Permit Number: � �y � ���G�T
Sl Ludp rh I nt
RECEIVED
Building Permit Application MAR 2 0 2010
Planning and Development Services
PerDepartment
Building and Code Regulation Division St, st. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Roof
El
PROPO,SED'IMPROVEMENT10CATIOK
Address: 4800 SUNSET BLVD FORT PIERCE
Legal Description. INDIAN RIVER ESTATES -UNIT 07- BLK 47 LOT 1 (MAP 34/02N) (OR 4017-2939)
Property Tax ID #: 3402-608-0231-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIP;1-ION.OF WORK ti ..
�...
remove old roof and put on new metal roof
CO,NSTR JNFOIZIVI`ATION
Additional work to be nertormed under tr is permit — check
all
apply:
E1HVAC
_
Gas Tank
Gas Piping
_
Shutters
a Windows/Doors
11 Electric 0 Plumbing
F]Sprinklers
1:1 Generator
W1 Roof 512 Roof pitch
Total Sq. Ft of Construction: 16
S . Ft. of First Floor:
Cost of Construction: $ 5500
Utilities: —
Sewer
OSeptic
Building Height:
ti0.11V,NER/LESSEE {��,a ;; �` �`CON�IRACTOR
71
r
Name V41JCav Im6pl-
Name:
Address:
,Company:
City: 6 &L6,L' State:
'Address:
_
Zip Code:�Fax:
City: State:
Phone No. Z qyo f
Zip Code: Fax:
Phone No.
"3�
E-Mail: r U►'I c l 6
Fill in fee simple Title Holder on next page ( if different
E, Mail:
State or County License:
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
,SUPP:LEM,ENTAL CONSTRUCTION•LIEN LAW INFORIbIAT10'N
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: ' Name:
Address: 4800 SUNSET BLVD FORT PIERCE Address:
City: State:'City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of, Commencement.
I
Signature o wner/ Lessee/Contractor as Agent for iwner
STATE OF FLORIDA
COUNTY OF S� L.vl2i�
The forgoing instrument was acknowledged before me
this ?O day of M �i , 20_/_,�Iby
6(l, �7_mIIA 1Sr4 tir
Name of person making statement
Personally Known OR Produced Identifications f
Type of Identification
Produced T (�
I
(Signature of Notary Public- St a of Florida )
U
Commission No. (Seal) of"n y
tr 7 N m
a IM `a
O` �o xN
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20_ by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS
FRONT
ZONING
m 2 0 a
S UFI.
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
E -
REVIEW
REVIEW
REVIEW
REVIEW
DATE
1--r-' 0�
RECEIVED
w m E ,U"
DATE
— co v
COMPLETED
Rev. 8/2/17
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